Hypoxic ventilatory response after rocuronium‐induced partial neuromuscular blockade in men with obstructive sleep apnoea

Anaesthesia ◽  
2020 ◽  
Vol 75 (3) ◽  
pp. 338-347 ◽  
Author(s):  
E. Christensson ◽  
A. Ebberyd ◽  
A. Hårdemark Cedborg ◽  
Å. Lodenius ◽  
Å. Österlund Modalen ◽  
...  
Thorax ◽  
2021 ◽  
pp. thoraxjnl-2021-218003
Author(s):  
Sébastien Baillieul ◽  
Sébastien Bailly ◽  
Olivier Detante ◽  
Sarah Alexandre ◽  
Marie Destors ◽  
...  

RationaleSleep-disordered breathing (SDB) is highly prevalent after stroke. The clinical and ventilatory chemosensitivity characteristics of SDB, namely obstructive, central and coexisting obstructive and central sleep apnoea (coexisting sleep apnoea) following stroke are poorly described.ObjectiveTo determine the respective clinical and ventilatory chemosensitivity characteristics of SDB at least 3 months after a first ischaemic stroke.MethodsCross-sectional analysis of a prospective, monocentric cohort conducted in a university hospital. 380 consecutive stroke or transient ischaemic attack patients were screened between December 2016 and December 2019.Measurements and main resultsFull-night polysomnography, and hypercapnic ventilatory response were performed at a median (Q1; Q3) time from stroke onset of 134.5 (97.0; 227.3) days. 185 first-time stroke patients were included in the analysis. 94 (50.8%) patients presented no or mild SDB (Apnoea-Hypopnoea Index <15 events/hour of sleep) and 91 (49.2%) moderate to severe SDB, of which 52 (57.1%) presented obstructive sleep apnoea and 39 (42.9%) coexisting or central sleep apnoea. Obstructive sleep apnoea patients significantly differed regarding their clinical presentation from patients with no or mild SDB, whereas there was no difference with coexisting and central sleep apnoea patients. The latter presented a higher frequency of cerebellar lesions along with a heightened hypercapnic ventilatory response compared with no or mild SDB patients.ConclusionSDB in first-time stroke patients differ in their presentation by their respective clinical traits and ventilatory chemosensitivity characteristics. The heightened hypercapnic ventilatory response in coexisting and central sleep apnoea stroke patients may orientate them to specific ventilatory support.


Author(s):  
Christopher Earing ◽  
Damian Mckeon ◽  
Jonathan Moore ◽  
Hans-Peter Kubis

2004 ◽  
Vol 558 (3) ◽  
pp. 993-1004 ◽  
Author(s):  
Amy S. Jordan ◽  
R. Doug McEvoy ◽  
Jill K. Edwards ◽  
Karen Schory ◽  
Chang-Kook Yang ◽  
...  

2017 ◽  
Author(s):  
Julie Lynch ◽  
Nikolaos Kyriakakis ◽  
Mark Elliott ◽  
Dipansu Ghosh ◽  
Mitchell Nix ◽  
...  

2020 ◽  
Author(s):  
Mili Dhar ◽  
Jennifer Elias ◽  
Benjamin Field ◽  
Sunil Zachariah ◽  
Julian Emmanuel

2020 ◽  
Author(s):  
Rachel Agius ◽  
Claudia Coelho ◽  
James Crane ◽  
Piya Sen Gupta ◽  
Barbara McGowan

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